WENDY HAWTHORNE (NPI# 1275585069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275585069 |
| Entity Type | Individual |
| Full Name | WENDY HAWTHORNE |
| Credential | ANP |
| Practice Address |
4510 Sw Hall Blvd Beaverton OR 97005 |
| Mailing Address |
6 Centerpointe Dr Ste 200 Lake Oswego OR 97035-8660 |
| Practice Telephone | 5036441171 |
| Practice Fax Number | 5036437443 |
| Mailing Telephone | 5037972254 |
| Mailing Fax Number | 5039140335 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2018-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
090000324N3 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 500011385 | 01 | |
| DEA | MH0287246 | 01 | |
| OR | 276415 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932440435 | Wendy Hawthorne | Speech-Language Pathologist | 7327 Olympic View Dr, Edmonds, WA 98026-5553 | 2013-03-07 |
| 1053882852 | Wendy Hawthorne | Registered Nurse | 1502 Mary Kay Blvd, Benton, AR 72015-7201 | 2018-12-06 |
| Street Address |
4510 SW HALL BLVD |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235136615 | Deborah A. Loewer | Nurse Practitioner | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2005-06-30 |
| 1164875886 | Jennifer Bagley | Hearing Instrument Specialist | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2016-07-18 |
| 1164802450 | Corina Sanford | Hearing Instrument Specialist | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2015-06-02 |
| 1952645392 | Megan Marie Monty | Registered Nurse | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2012-11-26 |
| 1417209909 | Connect Hearing, Inc. | Audiologist | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2012-10-08 |
| 1689970253 | Jenna Pierce | Counselor | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2011-01-31 |
| 1811942733 | Anshu Dhingra | Family Medicine | 4510 Sw Hall Blvd, Beaverton, OR 97005-0504 | 2006-05-23 |
| 1336191600 | Burton L Silverman | Family Medicine | 4510 Sw Hall Blvd, Beaverton, OR 97005 | 2006-05-16 |
| 1124008461 | Victoria Lynn Keyton | Nurse Practitioner | 4510 Sw Hall Blvd, Beaverton, OR 97005 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538480918 | Gerald Anthony Osacho | Nurse Practitioner | 13210 Sw Hanson Ln, Beaverton, OR 97008-9605 | 2010-06-19 |
| 1912914367 | Mary K Marshall | Nurse Practitioner | 17225 Nw Tucson St, Beaverton, OR 97006-7431 | 2006-08-01 |
| 1811968985 | Wendy Noreen | Nurse Practitioner | 17175 Sw Tualatin Valley Hwy, Suite B-2, Beaverton, OR 97006-4584 | 2006-01-27 |
| 1124008461 | Victoria Lynn Keyton | Nurse Practitioner | 4510 Sw Hall Blvd, Beaverton, OR 97005 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WENDY HAWTHORNE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.